NPIMap

Organization Active NPI

Ace Therapy Group, LLC

  • Speech-Language Pathologist
  • Boca Raton, FL
National Provider Identifier
1649565284
Registry record updated Jul 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 10046 Issued in FL
Legal business name
ACE THERAPY GROUP, LLC
Practice address
21929 Cricklewood Ter
Boca Raton, FL 33428-3053
Phone
(954) 298-7591
Fax
(561) 288-6000
NPI assigned
Jun 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy Etkie, M.S. CCC-SLPNPI 1821246471
Title
Speech Pathologist
Phone
(954) 298-7591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA 10046 FL Primary

Addresses

Primary practice location

21929 Cricklewood Ter
Boca Raton, FL 33428-3053

Mailing address

21929 Cricklewood Ter
Boca Raton, FL 33428-3053
Phone (954) 298-7591

Other identifiers 1

IdentifierTypeStateIssuer
000394400MedicaidFL

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469232000000",
    "number": "1649565284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21929 CRICKLEWOOD TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283053",
            "telephone_number": "954-298-7591",
            "fax_number": "561-288-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21929 CRICKLEWOOD TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283053",
            "telephone_number": "954-298-7591",
            "fax_number": "561-288-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-11",
        "last_updated": "2016-07-23",
        "status": "A",
        "authorized_official_last_name": "ETKIE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "954-298-7591",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 10046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000394400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.